LAURIE E CARLSEN - Dentist License in Illinois | # 020002013

LAURIE E CARLSEN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002013

License Status

INACTIVE

Business

N

First Name

LAURIE E

Last Name

CARLSEN

Business Name

LAURIE E CARLSEN

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005